CATALINO M BAUTISTA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

CATALINO

Middle

Last Name

BAUTISTA

Suffix

JR MD

Business Name

CATALINO M BAUTISTA JR MD

Original Issue Date

04/11/2003

Effective Date

04/11/2003

Expiration Date

07/31/2005

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020